Director of Compliance and Risk Management - Tiburcio Vasquez Health Center

The Director of Compliance and Risk Management provides strategic oversight and leadership to ensure TVHC’s adherence to federal and state regulations, HRSA standards, and internal policies. This role is integral to fostering a culture of compliance, safety, and accountability while driving continuous improvement across the organization.

Key responsibilities include managing risk assessment and mitigation strategies, developing compliance frameworks, overseeing policy implementation, and conducting audits to address organizational vulnerabilities. Serving as the subject matter expert, the Director collaborates across teams to deliver actionable insights, manage investigations, and provide training to build a workforce aligned with compliance standards and best practices.

This position works closely with TVHC’s executive leadership, Quality and Clinical teams, and Human Resources to develop streamlined processes and maintain a safe and compliant environment for patients and staff.

About TVHC: Tiburcio Vasquez Health Center is a non-profit community health center that is dedicated to promoting the health and well-being of our community by providing accessible, high quality care by integrating primary care, dental care, WIC support, mental health counseling, community health education and more.

Oversees: Compliance and Credentialing department

Compensation: $114,520.00 - $157618 annualized, depending on experience.

TVHC offers compensation ranges that are determined by a thorough market-based analysis and are fully disclosed in accordance with California law. The pay for a selected candidate is determined by a variety of factors to ensure fair and equitable compensation. These factors include the candidate's experience, education, skills, training, licensure, certifications, and the specific scope of the role. We are committed to providing a competitive compensation package that extends beyond base salary, designed to support the health, wealth, and career development of our employees.

Responsibilities:

• Oversee daily operations of the Compliance and Risk Management Department, including supervision of department staff.

• Develop, implement, and evaluate the effectiveness of TVHC’s Compliance and Risk Management Plans.
• Reviews and evaluates contracts for legal compliance, ensuring alignment with organizational policies, regulatory requirements, and risk management objectives.
• Streamline the credentialing process in collaboration with HR to ensure clarity and efficiency.
• Act as a trusted advisor to the executive leadership team and Board of Directors, providing regular updates on compliance, risk management, and patient safety initiatives
• Conduct compliance, risk, and safety audits to identify potential vulnerabilities and implement corrective measures.
• Maintain up-to-date expertise on federal and state regulations, including HRSA operational guidelines.
• Spearhead initiatives to promote a culture of safety and high reliability within the organization.
• Collaborate with IT to optimize cybersecurity measures and mitigate risks related to data security.
• Lead the implementation and continuous improvement of compliance and risk management platforms and tools.
• Oversee the incident reporting system and ensure timely resolution of reported issues through root-cause analysis and corrective action planning.
• Coordinate with legal counsel and malpractice vendors to address compliance-related concerns and share findings with relevant stakeholders.
• Ensure accurate and timely documentation of investigations, including mandatory reporting to regulatory bodies.
• Establish, implement, and maintain policies and procedures that align with regulatory requirements and organizational goals.
• Ensure timely policy reviews and updates to reflect changes in regulations or best practices.
• Provide guidance and training to staff on policy adoption and compliance expectations.
• Maintain a centralized system for policy distribution, version control, and accessibility.
• Design and deliver training programs, workshops, and seminars to ensure staff remain informed about regulatory standards and compliance protocols.
• Educate leaders and teams on best practices for risk management and compliance, fostering organizational accountability and continuous learning.
• Prepare and present detailed qualitative and quantitative reports, dashboards, and metrics to the Executive Team and Board of Directors.
• Provide actionable insights to monitor performance and support decision-making on compliance and risk-related matters.
• Ensure timely submissions of required reports to regulatory agencies.
• Partner with cross-functional teams to identify and address compliance and risk concerns proactively.
• Collaborate with the Medical Division to integrate FPPE (Focused Professional Practice Evaluation) and OPPE (Ongoing Professional Practice Evaluation) processes into the credentialing framework.
• Support the peer review process, including committee coordination and process improvement initiatives.
• Act as the organization’s HIPAA Privacy Officer, ensuring compliance with privacy regulations.
• Perform organizational assessments to identify needs for compliance and risk management tools.
• Additional duties as assigned by leadership.

Requirements

• Bachelor’s degree in public health, healthcare administration, nursing, legal studies, or a related field is required.
• A Master’s degree or legal degree is highly preferred.
• Certification as a Professional in Health Care Risk Management (CPHRM) is a plus.
• A minimum of five years of progressive experience in compliance, risk management, or legal operations within a healthcare setting, with supervisory responsibilities required.
• Extensive knowledge of standards, relevant legislation, laws, regulations, precedents, and clinical practice protocols for FQHCs.
• Clinical background is preferred.

Qualifications:

• Strong analytical and critical thinking skills to effectively assess risk and compliance issues.
• Ability to travel to designated locations as required.
• Proven ability to handle sensitive information with discretion and integrity.
• High adaptability to manage shifting priorities in a dynamic healthcare environment.
• Proactive problem-solving skills with a focus on collaboration and team engagement.
• Demonstrated expertise in planning, executing, and overseeing compliance and risk initiatives

Benefits

We offer excellent benefits including: medical (100% paid co-payments, premiums, etc.), dental, vision (including dependent and domestic partner coverage), generous paid leave benefits including holidays, Flexible Spending Accounts, retirement plans with an Employer match, tuition reimbursement, monthly treats, pet insurance, and more.